2Centre for Academic Mental Health, School of Social and Community Medicine, University of Bristol, Bristol BS9 1NQ, UK

3University of California, San Francisco, San Francisco, CA 94118, USA

dtovey{at}cochrane.org

Greenhalgh and colleagues’ commentary on the state of evidence informed healthcare is timely.1 However, labelling this as a “crisis” and the plea for a “return” to a mythical golden past are misguided.

The solution does not involve looking backwards, and headings such as “Return to real evidence based medicine” are unhelpful. The world has moved on. Evidence is continually evolving to reflect the needs …